For BIR BCS/

UM Only Item:
AIR Form Nn

2307
Januarv 2018 IENCSl
' ' " " 1~ a ll
"
-----.... ••-J~&II L.- •-- •-~•lo.
•
Certificate of Creditable Tax
Withheld at Source
.!'!In ~
Republlc of the Philippines
Depertmant of Finance
BuNau of Internet Revenue

1III1~.tffltilllIl o~n., n 111 n~•1 t"C

1 For the Period Fram I 01 I 0d I 21012 t3 I (MM'DQIYV,VY) To I I I I I I I I I {Mt,f/OD/YYYYJ

-· ·-·-- - ----
2 Tmcpayer ldenlfflcallol, .Nl.wnber (TINJ
I I I I I I I I I 1-1 1-1 1-) I I I
I PIYM'e Nan II M Nernt fbt Heme· Mdrle Heme Ix bHtef QR Redstrwt Nernt foe Mr:lodb:ttflO

4
I81111111ared Addiw 4A ZIP Code
I
I
IS iO[fllllD ~s:l!IIH I( GGllt:llllia
11 I I I I
·· - 1 !1 -.:.. __
I
I TalCl)tyer ldentlfkalkM• N1anber (TIN}
I 09.,9 1- 13r1.,11-1
... ·"""1

0,09
,_, I I I I I
1

I
r~~~~-=~l~;-RP~~~~•DB,____iic~
Re,,lstered ,.,.,.__
I
IA ~If Cg~e
I 75. PAG-ASA ST .. BROY. BONIFACIO, MANDALUYONG
Pan 111 - n.tall• of _ _ R,u ·-•--, __.. T••·· -•- R••~
11 I I I
lncomeP.,._. WifeotlO ....lded AMOUNT OF INCOME PAYMENTS
Tu Wllhhald for the
2nd lloneh ., Iha
Wllhholdlng Tu
Profe11lon11I (Lawyers, CPAs. Engineers, etc.)
ATC

WC011
1• lllontll fl/I 111a
a,..rt.,.
45,000.00
n .......
3rd lllonlh of the
n .......
T-
45,000.00
Quartet
6,750.00

Tcllal 45,000.00 45,000.00 6,750.00

Money Paymanta Subject lo Withholding of
- 'Taw ·- A D•"'••••

Tcllal

We dldare under Iha panaltlN of paljlJry lhal tt,a cwUllcala hM been n.- In good fallh, val1lad by UI, and lo the bNt of our knowladg4I and ballaf, II true and oon-acti
purauant to the ptOYlllonl of Iha Nallonal ~ Revenue Coda.• amandad, and Iha r9gUilllona llalllld unda, aulhol'lly lhlnof. Further, we glYe our coneent lo the ~ Ina of
o~r lnfonnallon a oontiem~ under Iha •Data Pljvacy Ad of 2012 (RA No. 10113) fur laglllnw and laWflA P'fPOMI.

SlgMlul9 CMrPYH9d NamaotPa,o,IPa)o(~Aulharizad RaPl~uAfal'II

,,_,.,__,_ ' ,.,,,1 TIN!
T1il! Agent AccncllaUon NoJ
, • D Aio ,JA /If I I o..°'.'~ I I I I I I I I I 0ate o1 Elq)lry
{f,,fM/DDIYYYY)
I I I I I I I I I

Signan_. PrlnladNlmaot~ · •A&itlonDd ·~ u A g e n t

,._,,.,,__,. , -- ,m,i TJNl
Tax Agent A:cc:recllation NoJ I I o.1e_°' '-:- I I I Dale o1 Elcplry I
• ~ Aftli 111" {If ,..,..n,,,,i.Je\ I I I I I I (/,,fM/ODIYYYY) I I I I I I I l
"NOTE: The BIR Data Privacy Is In the BIR webslle (www.blr.gov.ph)
 ForBIR
UN()ny Item:
SCSI

FIIR Fnrm Nn

2307
Januarv 2018 (ENCSl
, r m r,. ~11 " L
• Republic of tt.. Phlllppln"
Department of Finance
Bureau of Internal Revenue

Certificate of Creditable Tax

Withheld at Source 1111~.ltilllIl
1 F9'° lhe Period Fram I o, 1 o ~ I 2, o,2 a I (IMt)M'VYY] To I I J I J 1 1 1 J (IMt)M'VYY]

2 T8lCP8)9f'ldenllllcalionNl.mbet(TINJ

1. ee-•,,Heme 4 eer Heme a,, Heme MMe Necnl lrbHtef OR 8riltecld Heme Ir: Nrao:locHtflP
I I
I 4A ZIPCode

II I I I I
I
I T ~ ldeidllca1k,,,Nwnber(TINJ I 0. 617 1- 1 2,71 l- l 1t21 1-1 I I I I I
7ri:g:,;;~~7o"p:::ri;'.~.fpr(od,ddca,IOB£&tstemstMYDCl>cNoo:(odM!tWIO
t Registered Address IAZIP Code

I 123. SANTlAGO ST., BRGY. 03. PANDACAN. MANILA 11 I I I I

AIIOUNT Of.lTIICOIE PAYIIENT8
anc-P.,..... ...... IDEx,,a,NM 111t_of __
WWII 18.Tn
ATC 2nd llcNllh of 1bit 3rd Month of 1111 Tcllll

Rentals: On gross rental o, !e- lot 1he WC100 23,000.00 23,000.00 1,150.00

Toe.I 23,000.00 23.000.00 1,1SO.OO

llllone1 p.,__ lulijec;I t., WIIIII I 7 C DI
Tu fGovemment & Privatel

TOia!

Wededar9 undllrh ....... of pa,jl.lyllllt thls alltllcaaha been made WI good . . .. WIiied by UI, and ID lie bell of o u r ~ aldW, iswe and COfflld.
Pl,ftU8nl ID the s,.wlaa•dlie Nallonal lr!lemal ~ C o d a, - ~ and lie l9$Ulllloll91Nued under 8IAhorlly thereof. Further;-glwe cu-a1Na11 ID 11111 ~ ' 8 of
ou, . ....11. . . ., . ."°'...,~
undllr~"Dala Privacy Ad of2012 (RA No. 10173) f o r ~ end 1-flil'pufpaees.

Signluw_.Prinled Namear~sAulhorized ~ • A g e n t
n..-.... - ' TIM
Tax Agent Amecl1lilol1 NoJ
.6.ltnnuov's Anll .,_ f ,f "
I I~ ofltllJ! I I I I I I I I l)ateofElcpiryl I I I I I I I

Slgrwlln-PrtnlllldName of.....,..,_•• ~ ~lliilllNTax Agent

fl""'-!B ·- · • _,,; TliJI
Tax Agent Ameclbdloi, NoJ
AH......,,.,,5-Rnll u-, (of
I I 0a1e«1ssue I
- - I
I I I I I
l o.ie o1Elcplry
'TTI
f I I I j I I I
'NOTE: The BIR Data Privacy is 1n the BIR ~ e (www:bir.gov.ph)
ForBIR BCS/
Use Only Item:
RIR Form No

2307
Januarv 2018 (ENCS)
.. ·-- - u ~.., all
• Rapubllc of the Phlllpplnes
Department of Finance
BurHu of Internal Revenue

Certificate of Creditable Tax

Withheld at Source
•l(•
11111~.ltillllll ............. n1 , 1,...-11. ,..... c,

I,~
~ , .. ' " ~11 k M M . . ... ... an

1 For the Period From I 01 I o d I 21 o12 a I (MAIIDDIYYYY} To I I I I I I I I

Du•I-D•u- ..

S e-•
I
·
2 Taxpayer Identification Number (TIN)

Name Q,,ut NMnft

I II I I ■ I I ■ I I
f.ul. Name 6fWII Name ill: lndMdua/ QB Realslatad N8ma 1!i11: Nnn-lndllllduall
■ I I I
I
' !!llitlltered ~!II! ~~e~

5
I
fgcaiac 6ddttHi& ilaaallc:atlla
1111=1
L Da .. ll _ DauM
I
7
1
e:~~
I Taxpayer ldentltlcation Number {TIN)
1414.12 I-I 6is.p 1-1 9100 1-1
~~EBllttl.1111a - . HIima 1bt lndlviduAI QB RaaltdttmsJ. ~ g tisJD:.lndlvlduall
I I I I I
I
a R"" istered Address
16jgf~
I 756, BAGONG PAG-ASA. BRGY. KATIPUNAN, PASIG CITY 1111=1
D ... Ill - ~••"• nf u-1h1u Income Pavmant• and , •--•
Income Paymente Subject t o ~ AMOUNT OF INCOME PAYIENTI
Ta Wlthheld for the
ATC 1st fllonlh of the 2nd Month of the Srd llordll of the
Withholding Tax n ....... Toe.I ~
n ....... n .......
Rentals: On gross rental or lease for the Wl100 32,000.00 32,000.00 1,600.00

Total 32,000.00 32,000.00 1,600.00

Money Paymente Subjllct ID Wltll."lolcllng of
Tax fGovemrnent & DrluMa\

Total

We declare under the penalties of perjury that 1h11 Clftlllcatl has tJa.i made In good fallh, verified by us, and to the best of our knowledge and belief, Is true and 00ff9CI,
pursuant to the provillonl of the National Internal RftwluaCode, • lfllellded, and the regulations lauedunderauthoritythereo(. Furlher, -give ourCOl.-ttothe p i _ . i g of
our Information as conlemplalad under the "Dela Privacy Ad of 2012 (RA No. 10173) for legltlmale and lawful purpow.

Signature over Prlnllld Name of PayodPayor's Aulhoriad ~ • Agent

flndicate Title/Desiona tion and TINI
Tax Agent Acaedltatlon NoJ
AH n ~a u •~ 0 nll ...n / If I I Dale of Issue I
IMMIDDl'fYYYI I I I I I I I ~-1eor~ryl J I I I I I I I

Slgnalln - Printed Name of Payee/Payee's Authorized Repres«ilallv&'Tax Agent

tlnnl~al6 ' ' , annT/NI
Tax Agent Accndilatlon NoJ I I Dale of 1,_ I I I I I I I Dated Expiry I J I I I I I
Atlomev's Roll Nn . I ll annll~a"IAl I fMMIDDIYYYYI I J
•NOTE: The BIR Data Privacy is in the BIR website (www.bir.gov.ph)